Accessory packagePlease indicate if you are interested in the accessory package, which includes: large oil painting, bedroom picture, wall mirror, & ficus tree

Yes

No

First Name

Last Name

Email

Phone Number

Date of birth

Delivery AddressDelivery fees will apply. Your personal representative will advise you of these fees once your order has been completed.

City

State

Property Name

Zip code

Unit Number

Additional Information

I hereby apply for rental of furniture and/or other merchandise from Colony Furniture Leasing. I am eighteen years of age or older. Everything stated in this application is true and correct. I agree that any falsification of the above information will result in the immediate disapproval of my application and constitute a default of my rental contract. Colony Furniture Leasing is authorized to check my credit and employment history. An agent of Colony Furniture Leasing will determine my credit worthiness and may choose to enter into a furniture rental agreement with me.

By submitting this electronic application I hereby agree to the above stated terms. I grant permission to Colony Furniture Leasing to process my application using my credit history and other information they deem necessary as provided by law.